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Intrapartum cesarean delivery due to nonreassuring fetal heart rate and the risk of pediatric infectious morbidity-related hospitalizations of the offspring

The Pediatric Infectious Disease Journal Jun 15, 2021

Leybovitz-Haleluya N, Wainstock T, Pariente G, et al. - Nonreassuring fetal heart rate (NRFHR) patterns are identified as one of the most common indications for intrapartum cesarean delivery (CD). Researchers investigated whether CD due to NRFHR is associated with the risk for subsequent childhood infectious morbidity-related hospitalizations of the offspring in long-term. In this population-based cohort study, total and different subtypes of infectious morbidity-related pediatric hospitalizations were compared among offspring born by CD due to NRFHR vs labor dystocia (failure of labor to progress during the 1st or 2nd stage). Total number of 9,956 newborns meeting the inclusion criteria were assessed; 5,810 (58%) born by CD due to NRFHR, and 4,146 (42%) born via CD following labor dystocia with normal fetal heart rate. Higher rates of infectious morbidity-related hospitalizations were recorded for offspring born following NRFHR. Hence, CD due to NRFHR is suggested to be a risk factor for pediatric hospitalizations related to infectious morbidity in the offspring.

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